Saturday, February 2, 2008

Paper; Health Care Rationing

EThics of Health Care Rationing

This article summarizes the problems of rationing of health care, and discusses why it is not necessary

White, L.W. and M.E. Waithe. The Ethics of Health Care Rationing as a Strategy of Cost Containment. -In Humber, James and Almeder, Robert, ed, Biomedical Ethics Reviews: 1994. 23-54. Humana Press, Totowa NJ 1994

Friday, February 1, 2008

Paper; The Nazi doctors and the medical community; Honor or censure? The case of Hans Sewering

Journal of Medical Humanities
Publisher Springer Netherlands
ISSN 1041-3545 (Print) 1573-3645 (Online)
Issue Volume 17, Number 2 / June, 1996
DOI 10.1007/BF02276813
Pages 119-135


Subject Collection Humanities, Social Sciences and Law
SpringerLink Date Saturday, December 10, 2005
The Nazi doctors and the medical community; Honor or censure? The case of Hans Sewering

Lawrence W. White

Abstract
During the Nazi era, most German physicians abrogated their responsibilities to individual patients, and instead chose to advocate the interests of an evil regime. In so doing, several fundamental bioethical principles were violated. Despite gross violations of individual rights, many physicians went on to have successful careers, and in many cases were honored. This paper will review the case of Hans Sewering, a participant in the Nazi euthanasia program who became the President-elect of the World Medical Association. The appropriate stance for the medical and scientific community toward those who violate human rights and ignore fundamental ethical principles of the healing professions will be considered.


Nothing is darker or more menacing, or harder to accept, than the participation of physicians in mass murder ... He or she is still supposed to be a healer—and one responsive to a tradition of healing, which all cultures revere and depend upon. Robert Jay Lifton, The Nazi Doctors

For full text, click here

Tuesday, January 1, 2008

General; Ethical Framework; Principles of Bioethics

This provides a general framework that permits the reader to look for the ethical issues in each book

Essentially, all ethics can be broken down into 3 principles

1. Autonomy; do not take away another’s freedom
e.g.; fully inform patients of risks and benefits of procedures, drugs, etc
No procedures done without patient consent

2. Non-maleficence and beneficence; do no harm, do good

3. Justice; be fair
e.g. limited number of human livers for transplantation; how do we decide who gets one?